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NPI 1063635506 · Redmond, OR · Ambulatory Surgical Clinic/Center
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Deschutes Eye Clinic Inc is a ambulatory surgical clinic/center provider located in Redmond, Oregon. This profile covers 9 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Deschutes Eye Clinic Inc |
| Address | 1775 Sw Umatilla Ave |
| City | Redmond |
| State | OR |
| ZIP | 97756 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 11, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $84.5K |
DESCHUTES EYE CLINIC INC operates as an Ambulatory Surgical Clinic/Center and its CPT mix is dominated by ophthalmic surgical procedures, especially cataract extraction with intraocular lens placement (codes such as 66984, 66982) and posterior-segment surgeries (codes such as 67036, 67108, 67041). The presence of both anterior and posterior eye surgery codes indicates the practice functions as an outpatient surgical center handling routine cataract work plus more specialized vitreoretinal cases.
Medicare revenue is highly concentrated: the top three Medicare codes account for 80.3% of the provider's total Medicare revenue, with 66984 contributing $718.6K (65.1% of Medicare revenue), 67036 contributing $94.9K (8.6%), and 67108 contributing $73.2K (6.6%). This concentration shows the business is largely dependent on a small set of high-value ophthalmic procedures for Medicare payments.
On Medicaid the provider is effectively single-code: Medicaid revenue is $84.5K total and the top three Medicaid codes account for 100.0% of Medicaid revenue, all coming from 66984 (308 claims, $274 avg paid/claim, $84.4K revenue). In-state competitive position for 66984 is middling—ranked #17 of 39 providers (58th percentile)—which suggests typical cataract Medicaid volume relative to other Oregon providers.
Payer mix is Medicare-dominant: the provider reported $1.1M in Medicare revenue compared with $84.5K in Medicaid revenue, indicating Medicare is the principal payer by far for this entity and Medicaid represents a small portion of billed revenue. This imbalance implies that shifts in Medicare policy or cataract surgery volumes would materially affect overall revenue while Medicaid changes would have more limited absolute impact.
Competitive standing by code shows mixed signals: 66984 is a large share of revenue but is described as typical, unremarkable volume nationally (rank #2247 of 15965, 86th percentile), whereas 67036 is a relative outlier for retinal work—67? (note: actual rank given) listed as notably above typical national volume (rank #66 of 832, 92th percentile)—indicating a stronger-than-average regional role in pars plana vitrectomy. At the same time 67108 ranks #46 of 706 (93th percentile) but is labeled typical, unremarkable volume, which tempers interpretation about dominance in retinal detachment repair.
The clinic shows a complementary aftercare and minor-procedure stream consistent with a cataract-focused practice: 66821 (YAG capsulotomy) appears with 159 claims and $34K revenue (3.1% of Medicare revenue), ranked #1263 of 10087 providers (87th percentile), reflecting expected follow-up/laser volume associated with a sizable cataract practice. This pattern supports an integrated surgical-and-follow-up care model rather than a purely diagnostic clinic.
Revenue risk is concentrated in cataract surgery: 66984 alone represents $718.6K and 65.1% of Medicare revenue while also being 100.0% of Medicaid revenue share, so changes in cataract volumes or reimbursement for 66984 would disproportionately affect both payer lines. The reliance on a single dominant procedure across both payers increases operational and revenue-side sensitivity to market or policy shifts affecting cataract care.
The provider has an established presence: NPI enumerated 2007-04-11 (~19 years ago), consistent with a long-tenured outpatient surgical operation. Tenure combined with above-typical national volume on certain vitreoretinal codes (notably 67036) suggests the clinic likely functions as a stable regional surgical resource for both routine cataract and selected complex retinal procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 790 | $910 | $718.6K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 60 | $1,610 | $94.9K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 50 | $1,630 | $73.2K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 60 | $900 | $50.4K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 20 | $2,730 | $49.1K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 30 | $1,590 | $46.2K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 20 | $1,640 | $34.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 160 | $210 | $34K |
| 67145 | The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue… | 30 | $120 | $3.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 310 | $270 | $84.4K |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 17 | 40 | 120 | $330 | $175.5K |
Other providers in the same ZIP code as Deschutes Eye Clinic Inc, ranked by combined Medicare and Medicaid revenue.
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